DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Leavens, Jonathan	DOIID	844619	NAIC NPN	16183439

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/3/2014		9/30/2024
Active	Non Resident	Agent	Property	7/3/2014		9/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/29/2015		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024
Surplus Lines Broker	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/5/2014	12/29/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/5/2014	12/29/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Property	8/5/2014	5/1/2020
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Casualty	8/5/2014	5/1/2020
Active	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Surplus Lines Broker - Not Applicable	10/19/2015